nonalcoholic steatohepatitis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Presence of NASH with fibrosis confirmed by central reader's evaluation of liver biopsy obtained no more than 6 months before randomization as demonstrated by the following: 1.NASH using NAFLD Activity Score (NAS) >= 4 with at least 1 point each in inflammation and ballooning and 2.Fibrosis stage 2 or 3 using NASH CRN fibrosis criteria
Exclusion criteria
Exclusion criteria: - Type 1 diabetes mellitus - Uncontrolled type 2 diavetes defined as blycated hemoglobin(HbA1c) >= 9.0% at screening - HbA1c ULN (see Central laboratory manual). - ALT or AST > 5xULN(confirmed by 2 values during screening). - Total billirubin > ULN(see Central laboratory manual)(confirmed by 2 values during screening), including Gilbert's syndrome. - Alkaline phosphatase > 300 IU/L (confirmed by 2 values during screening). - History of esophageal varices, ascites or hepatic encephalopathy - Splenomegaly - MELD score > 12
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| efficacy - Whether the participant achieves at least one stage of improvement in fibrosis without worsening of NASH (YES/NO) [ Time Frame: 48 weeks ] - Whether the participant has resolution of NASH without worsening of fibrosis (YES/NO) [ Time Frame: 48 weeks ] | — |
Secondary
| Measure | Time frame |
|---|---|
| efficacy - Whether the participant achieves resolution of NASH and no worsening of fibrosis OR improvement in fibrosis by at least one stage without worsening of NASH (YES/NO) [ Time Frame: 48 weeks ] - Whether the participant has at least one stage improvement in fibrosis (YES/NO) [ Time Frame: 48 weeks ] - Whether the participant has at least two stage improvement in fibrosis without worsening of NASH (YES/NO) [ Time Frame: 48 weeks ] - Whether the participant has 5% or more reduction in body weight (YES/NO) [ Time Frame: 48 weeks ] - Change in liver fat content based on MRI - PDFF (in 40% of participants) [ Time Frame: 48 weeks ] - Change in ALT and AST over time [ Time Frame: 48 weeks ] - Change in GGT over time [ Time Frame: 48 weeks ] - Occurrence of adverse events, serious adverse events, adverse events resulting in discontinuation of study treatment, adverse events of special interest and changes in vital signs and laboratory parameters [ Time Frame: 48 weeks ] | — |
Countries
Africa, Asia except Japan, Japan, North America, South America
Contacts
Novartis Pharma. K.K.